Jose T Sandoval MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F5736 Issued in TX

Legal business name

JOSE T SANDOVAL MD PA

Practice address

605 N Main St
Ste. C
Donna, TX 78537-2725

Phone

(956) 464-4406

Fax

(956) 464-0136

NPI assigned

Jul 20, 2007

Last updated

Mar 4, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Norma Nava

Title

Office Manager

Phone

(956) 464-4406

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1346440047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "address_2": "STE. C",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372725",
            "telephone_number": "956-464-4406",
            "fax_number": "956-464-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "address_2": "STE. C",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372725",
            "telephone_number": "956-464-4406",
            "fax_number": "956-464-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE T SANDOVAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "NAVA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-464-4406"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F5736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080449401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Donna, TX
• Providers in Donna, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.